Constipación en la Unidad de Terapia Intensiva Un trastorno de motilidad inadvertido
GUIDELINES FOR THE MANAGEMENT OF CONSTIPATION IN INTENSIVE CARE UNITS. AN UNNOTICIED DISORDER OF MOTILITY
Prensa méd. argent; 103 (5), 2017
Publication year: 2017
This article discusses the incidence of
constipation in an intensive care unit.
Disorders of the gastrointestinal motility are frequent among critically ill
patients. Nevertheless, constipation has
received less importance in this matter.
Several alimentary factors and of the
clinical treatment have been associated to
this event. Constipation is the condition
in which bowel movements are infrequent
or incomplete during three, six or nine
consecutive days, or otherwise because of
the necessity to assist to the treatment with
evacuating measures. The authors conducted a descriptive, quali-quantitative,
transversal and prospective design of the
incidence of constipation and its implications on the progress of critically ill patients, in patients 18 years old or older, assisted at the Intensive Care Unit from the
Hospital “Juan Fernandez”, from Buenos
Aires. It is concluded that constipation is
a frequent complication among critically
ill patients and thus the administration
of early enteral nutrition with insoluble
fiber should be considered, as a protector
support against constipation. Accelerating
gastrointestinal recovery during intensive
care stay could increase patient comfort,
decrease the average hospital stay and reduce costs and readmission rates.